| NPI | 1922271592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106357) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106H00000X Marriage & Family Therapist (Licence: CA 90782) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 62163) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2019-01-14 |