| NPI | 1780096057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 110615) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110615) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2020-12-29 |