| NPI | 1063963965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122003) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103069) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2021-04-02 |