NPI | 1922393503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT108944) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF91036) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2011-06-13 |
Last Update Date | 2022-04-13 |