| NPI | 1255005336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 4712053) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA F5341626) |
| 101YM0800X Counselor, Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 10012095) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2023-05-02 |