| NPI | 1952743775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96147) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 76436) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2022-02-03 |