| NPI | 1417170358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123701) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79500) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-02-24 |