| NPI | 1780043349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107782) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107782) |
| 101Y00000X Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 107782) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2018-08-16 |