| NPI | 1538404579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148740) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112450) |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor Mental Health (Licence: CA 112450) | |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2024-08-09 |