NPI | 1225557978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127391) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107554) |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-09-13 |
Last Update Date | 2022-07-21 |