| NPI | 1134402159 |
|---|---|
| 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 99843) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00192200) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2023-03-10 |