| NPI | 1962703553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87033) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 171M00000X Case Manager/Care Coordinator | |
| 106H00000X Marriage & Family Therapist (Licence: CA 68520) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2017-02-06 |