| NPI | 1508400433 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146070)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 106H00000X Marriage & Family Therapist (Licence: CA 122877)  | |
| Enumeration Date | 2019-11-04 | 
| Last Update Date | 2024-04-15 |