| NPI | 1285252106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130113) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 10947) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2022-01-02 |