| NPI | 1003219197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99851) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87520) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2017-06-07 |