| NPI | 1538429741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102270) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF77303) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2018-01-02 |