| NPI | 1891442356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12255) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 12255) |
| 106H00000X Marriage & Family Therapist (Licence: CA 134770) | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2023-06-07 |