NPI | 1770165284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123377) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 123377) |
Enumeration Date | 2021-04-23 |
Last Update Date | 2024-02-07 |