NPI | 1982060117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114538) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF85699) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF85699) | |
Enumeration Date | 2016-01-04 |
Last Update Date | 2021-07-12 |