| NPI | 1043722036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125230) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103235) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2021-04-05 |