| NPI | 1548384605 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134023)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101415)  | 
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA 101415)  | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 101415)  | |
| Enumeration Date | 2007-03-16 | 
| Last Update Date | 2024-05-20 |