NPI | 1083286850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149640) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 127427) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2024-10-10 |