| NPI | 1811320260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90822) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA 90822) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2017-03-03 |