| NPI | 1477229615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 124543) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124543) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2022-12-28 |