| NPI | 1447775473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125127) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 101491) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 101491) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2024-05-09 |