| NPI | 1114472024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT120070) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT100656) |
| 106H00000X Marriage & Family Therapist (Licence: CA 120070) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2021-08-24 |