| NPI | 1659658235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104647) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70523) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2021-04-02 |