NPI | 1447678362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108679) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
172V00000X Community Health Worker (Licence: CA 108679) | |
Enumeration Date | 2014-03-29 |
Last Update Date | 2022-05-31 |