NPI | 1699150664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119871) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-20 |
Last Update Date | 2021-10-18 |