| NPI | 1366178550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12767) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 16727) |
| 106H00000X Marriage & Family Therapist (Licence: CA 12767) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2023-02-13 |