| NPI | 1750996724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117511) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7310) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2021-05-24 |