| NPI | 1578178950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128931) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 10504) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2021-11-04 |