| NPI | 1740622653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100535) |
| Additional Taxonomies | 101Y00000X Counselor |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF100535) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2019-06-18 |