| NPI | 1962885616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147105) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF97035) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-07-24 |