NPI | 1891904157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT79786) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA IMF 50957) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2024-11-11 |