NPI | 1235772153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT130710) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA AMFT130710) | |
Enumeration Date | 2019-10-23 |
Last Update Date | 2024-04-12 |