NPI | 1528606076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139714) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 118574) |
106H00000X Marriage & Family Therapist (Licence: CA 118574) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-12-16 |
Last Update Date | 2024-01-25 |