| NPI | 1972948156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF69792) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF69792) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2018-03-17 |