NPI | 1134402159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99843) |
106H00000X Marriage & Family Therapist (Licence: NJ 37FI00192200) | |
Enumeration Date | 2011-09-26 |
Last Update Date | 2023-03-10 |