| NPI | 1013359017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 13383) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2022-08-31 |