| NPI | 1649937764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136342) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 12789) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2023-10-13 |