| NPI | 1417340241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138905) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 13615) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2023-04-05 |