| NPI | 1962845933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105026) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 67710) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 67710) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-03-11 |