| NPI | 1225480791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126564) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA E1100774) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2021-09-14 |