| NPI | 1477932101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85457) |
| 106H00000X Marriage & Family Therapist (Licence: CA 124568) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2022-03-03 |