| NPI | 1922467984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119355) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100841) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY B09-874-794) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2022-07-21 |