| NPI | 1861905184 |
|---|---|
| Former Name | ANALEIGH LISETTE CUSHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108126) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-09-03 |