| NPI | 1548697931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 129639) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA MFTI70186) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2022-02-16 |