| NPI | 1356739106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF83180) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PCCI2772) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF83180) | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2018-03-20 |