| NPI | 1972909471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83181) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 83181) |
| 104100000X Social Worker | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 83181) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2020-02-18 |