| NPI | 1376068932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135002) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: CA 103238) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-12-15 |