| NPI | 1437580297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147774) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 129995) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2024-11-21 |