| NPI | 1033657234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: CA LMFT112227) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112227) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF95606) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF95606) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-03-10 |