| NPI | 1912378472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122018) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF95583) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2023-02-27 |