| NPI | 1922520444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140629) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist (Licence: CA 112020) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2023-08-07 |