| NPI | 1194224659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138963) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7169) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 116344) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2023-04-10 |