| NPI | 1952865586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142832) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT115150) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2023-11-15 |