| NPI | 1740839810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145715) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115396) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 115396) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-03-18 |