NPI | 1063856201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101028) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF81751) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-18 |
Last Update Date | 2017-12-14 |