NPI | 1477993335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA IMF #75174) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113040) |
Enumeration Date | 2013-06-25 |
Last Update Date | 2020-08-31 |