| NPI | 1629592084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125259) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108681) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |