| NPI | 1194148320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119701) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA D4969743) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 91296) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2022-05-18 |