NPI | 1225533706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA AMFT120443) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AMFT120443) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2020-12-16 |