| NPI | 1588080493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107851) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89303) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA B66109704) | |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2022-04-25 |