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 |