NPI | 1841855400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8369) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA MFT1419) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-05-08 |
Last Update Date | 2022-10-25 |