| NPI | 1124610480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 159439) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2025-11-17 |