NPI | 1477071900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116842) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 111020) |
171M00000X Case Manager/Care Coordinator | |
101YM0800X Counselor, Mental Health (Licence: CA 73869) | |
Enumeration Date | 2017-09-05 |
Last Update Date | 2025-08-22 |