| NPI | 1629452537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115763) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89932) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2019-09-30 |