| NPI | 1720613144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126240) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT126240) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-10-09 |