NPI | 1487084059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 118259) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7605) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2013-11-19 |
Last Update Date | 2020-04-29 |