| NPI | 1356061055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT159374) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT142365) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2025-11-25 |