| NPI | 1891377529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136422) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 12873) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-04-01 |