| NPI | 1326594003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127144) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA B5517654) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-03-08 |