| NPI | 1942728688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125496) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 125496) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2023-06-01 |