| NPI | 1497272330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 151418) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF99828) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2026-03-18 |