| NPI | 1902254394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT139196) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF99876) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2023-05-15 |