| NPI | 1144667148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110117) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 83530) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2019-09-20 |