NPI | 1528629623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT145841) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT110512) |
172V00000X Community Health Worker (Licence: CA AMFT110512) | |
Enumeration Date | 2019-06-28 |
Last Update Date | 2024-10-29 |