NPI | 1235372723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111272) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT Intern 95895) |
174N00000X Lactation Consultant, Non-RN (Licence: CA 11030216) | |
176B00000X Midwife (Licence: CA LM286) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-04-13 |
Last Update Date | 2019-03-13 |