| NPI | 1538877675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 136095) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-12-01 |