NPI | 1174039234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT3781) |
Additional Taxonomies | 172V00000X Community Health Worker |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-12-27 |
Last Update Date | 2022-10-28 |