NPI | 1649564659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112278) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2011-06-07 |
Last Update Date | 2022-09-21 |