| NPI | 1790180859 |
|---|---|
| Former Name | MARY KAREN MAGANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101592) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2018-07-02 |