| NPI | 1124543335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4409) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 127446) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2023-06-08 |