| NPI | 1073921383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105797) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 82101) |
| 101YM0800X Counselor Mental Health (Licence: CA 82101) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 82101) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2023-03-14 |