NPI | 1467021550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 125871) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 125871) |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
Enumeration Date | 2021-06-22 |
Last Update Date | 2023-10-13 |