| NPI | 1174982896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116172) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 106720) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-11-08 |