| NPI | 1992249684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139914) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 108347) |
| 225C00000X Rehabilitation Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2023-07-10 |