| NPI | 1598491805 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141196) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14380) | 
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-07-28 | 
| Last Update Date | 2024-03-21 |