| NPI | 1164113122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 134846) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 134846) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-07-17 |