| NPI | 1316466469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128718) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 128718) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 88475) | |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2023-03-16 |