| NPI | 1548924939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 291566) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA PLC8319) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2024-11-08 |