| NPI | 1760801443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 159455) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 171M00000X Case Manager/Care Coordinator | |
| 374700000X Technician (Licence: CA 34212) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2026-03-06 |