| NPI | 1750668752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107848) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 65365) |
| 106H00000X Marriage & Family Therapist (Licence: CA 65365) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 97215) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2021-10-04 |