NPI | 1972857233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111650) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71923) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2012-11-07 |
Last Update Date | 2019-10-10 |