NPI | 1164916367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA AMFT143807) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT143807) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-01-03 |