| NPI | 1205311909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA 124316) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 84023) | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2021-03-04 |