| NPI | 1710345236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108557) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF81737) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA #IMF81737) | |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2019-02-21 |