| NPI | 1881072577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123839) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: CA 95859) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2021-08-06 |