| NPI | 1902167273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113629) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF93972) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF93972) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-09-02 |