NPI | 1972988533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108313) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 5131) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2015-07-24 |
Last Update Date | 2023-11-28 |