| NPI | 1881894244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93321) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA IMF 63756) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-08-11 |