| 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 |