NPI | 1013359017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 13383) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2013-07-19 |
Last Update Date | 2022-08-31 |