| NPI | 1366828154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117256) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF94280) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2021-03-04 |