| NPI | 1386199123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124314) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 101891) |
| 101YM0800X Counselor, Mental Health (Licence: CA 101891) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2025-05-09 |