| NPI | 1730661968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136515) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113790) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-12-23 |