| NPI | 1639553159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT117304) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 97462) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-07-06 |