NPI | 1053194308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147931) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17140) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-08-18 |
Last Update Date | 2024-08-21 |