| NPI | 1538392212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116386) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA 116386) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2020-07-23 |