| NPI | 1083060115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204307) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 125445) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2022-04-20 |