| NPI | 1548517436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 76590) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YP2500X Counselor, Professional (Licence: CA 635) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2014-05-14 |