| NPI | 1518601392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139159) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0020808) |
| 106H00000X Marriage & Family Therapist (Licence: CO 0014462) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-05-10 |