| NPI | 1588236335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126685) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 126685) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-09-23 |