NPI | 1003299025 |
---|---|
Former Name | MICAELA MAGAZZU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120272) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95925) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-08 |
Last Update Date | 2021-10-15 |