| NPI | 1942826912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151320) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127281) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-11-13 |