| NPI | 1922479906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171W00000X Contractor |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2020-04-29 |