| NPI | 1801331293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT118866) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT118866) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2024-03-06 |