| NPI | 1922456862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128160) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 105995) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-10-06 |