| NPI | 1245622885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138639) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93043) |
| 106H00000X Marriage & Family Therapist (Licence: CA 132883) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2023-03-27 |