| NPI | 1902125040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93805) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 69002) |
| 106H00000X Marriage & Family Therapist (Licence: CA 69002) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2023-07-11 |