NPI | 1811541030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT102060) |
171M00000X Case Manager/Care Coordinator (Licence: CA AMFT102060) | |
Enumeration Date | 2019-07-25 |
Last Update Date | 2024-04-05 |