| NPI | 1891821047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87227) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76190) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2021-06-14 |