| 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 |