| NPI | 1588020762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT125085) |
| 106H00000X Marriage & Family Therapist (Licence: CA 85745) | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2023-02-14 |