| NPI | 1578031407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 86527) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 163006) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2020-01-14 |