| NPI | 1942602701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116624) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF92219) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2025-01-21 |