| NPI | 1598359572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 144716) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT144716) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2025-12-24 |