NPI | 1144956574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT142451) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC14978) |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-07-27 |
Last Update Date | 2023-10-30 |