| NPI | 1447636576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 6841T) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 106H00000X) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2022-06-23 |