| NPI | 1679236004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 164929) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101Y00000X Counselor (Licence: CA 23467) | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2026-08-17 |