NPI | 1518497866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138902) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101Y00000X Counselor | |
172V00000X Community Health Worker | |
Enumeration Date | 2017-06-19 |
Last Update Date | 2024-01-03 |