| NPI | 1740834431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146697) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 116085) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2026-06-18 |