| NPI | 1477970804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121174) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT121174) |
| 225400000X Rehabilitation Practitioner (Licence: CA 225400000X) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-09-13 |