| NPI | 1588985642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC83953) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor (Licence: CA IMF 70207) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 70207) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2016-08-09 |