| NPI | 1891047510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129710) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 88738) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2021-12-14 |