| NPI | 1790164424 |
|---|---|
| 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 MFTI 86448) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2016-05-18 |