| NPI | 1336573161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 117555) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2023-06-02 |