| NPI | 1275780892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1641) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 9022A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2015-12-17 |