| NPI | 1336906189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 155531) |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2025-08-27 |