| NPI | 1306421995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127821) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 141736) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2023-10-06 |