| NPI | 1205329802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 164476) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 129617) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2026-07-14 |