| NPI | 1356899439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96578) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 96578) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 96578) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2022-03-07 |