| NPI | 1629699533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139391) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 34272) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2024-04-13 |