| NPI | 1437537404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112954) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96777) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 96777) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-08-07 |