| NPI | 1073093589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132943) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117697) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2022-06-17 |