| NPI | 1639881006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 161879) |
| Additional Taxonomies | 372600000X Adult Companion |
| 172V00000X Community Health Worker | |
| 106H00000X Marriage & Family Therapist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2026-05-01 |