NPI | 1972903482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT133399) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171M00000X Case Manager/Care Coordinator | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2014-09-03 |
Last Update Date | 2022-08-09 |