| NPI | 1376213116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT132498) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 132498) |
| 101YM0800X Counselor, Mental Health (Licence: CA 11571) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-01-23 |