| NPI | 1578064929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135373) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116958) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2022-10-19 |