| NPI | 1568692911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF95027) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF95027) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF95027) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2018-02-28 |