| NPI | 1932443744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98838) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 75633) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2020-09-14 |