NPI | 1063963965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122003) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103069) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-10-17 |
Last Update Date | 2021-04-02 |