| NPI | 1952959504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115465) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 11904) |
| 101YM0800X Counselor, Mental Health (Licence: CA 6804) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 6804) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-01-16 |