| NPI | 1740526003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 115399) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2023-05-11 |