| NPI | 1306300686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144835) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114644) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YM0800X Counselor, Mental Health (Licence: AMFT114644) | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2024-02-13 |