| NPI | 1689934010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 002060) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 67307) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 67307) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2022-09-03 |