| NPI | 1053194308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147931) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17140) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2024-08-21 |