| NPI | 1669059622 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC11612)  | 
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: CA APCC11612)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-25 | 
| Last Update Date | 2024-10-03 |