| NPI | 1407238645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123190) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 93925) |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2020-11-23 |