| NPI | 1821639808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-11-15 |