| NPI | 1962803619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 89107) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 89107) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 89107) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2019-02-06 |