| NPI | 1760770655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121004) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83110) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 83110) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2024-11-20 |