| NPI | 1972984110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87753) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2022-08-04 |