NPI | 1265099428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT141323) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT129966) |
101YP2500X Counselor, Professional (Licence: CA 10701) | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT129966) | |
390200000X Student in an Organized Health Care Education/Training Program | |
172V00000X Community Health Worker | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2019-05-23 |
Last Update Date | 2023-09-06 |