NPI | 1083983373 |
---|---|
Former Name | AMBER R ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 72271) |
Additional Taxonomies | 101Y00000X Counselor |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 72271) | |
Enumeration Date | 2011-12-15 |
Last Update Date | 2024-10-29 |