| NPI | 1790315539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 148110) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 106547) |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2024-07-25 |