NPI | 1174123871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT148180) |
Additional Taxonomies | 172V00000X Community Health Worker |
175T00000X Peer Specialist | |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-10-30 |
Last Update Date | 2024-07-23 |