NPI | 1821669177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT143673) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2021-07-08 |
Last Update Date | 2023-12-13 |