| NPI | 1508598566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT158736) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT140060) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2025-10-22 |