| NPI | 1083976849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT98550) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 69614) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 69614) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2017-04-20 |