| NPI | 1740805621 |
|---|---|
| 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 122028) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-10-24 |