| NPI | 1710526538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147919) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 147919) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2024-07-16 |