| NPI | 1215665427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141816) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: CA 14738) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-02-01 |