| NPI | 1093181737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 90655) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90655) |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist (Licence: CA 90655) | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2017-05-02 |