| NPI | 1427778661 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15425) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 143662) | 
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-08-29 | 
| Last Update Date | 2024-01-18 |