| NPI | 1912549783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131400) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11248) |
| 101YP2500X Counselor, Professional | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 131400) | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2024-10-11 |