| NPI | 1679056345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT135385) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA amft126071) |
| 103T00000X Psychologist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2022-11-04 |