| NPI | 1215355367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT129352) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA AMFT129352) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-01-09 |