NPI | 1194184267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT102637) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-02-18 |
Last Update Date | 2018-03-17 |