| NPI | 1396102257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC9776) |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2021-07-09 |