NPI | 1336499961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97613) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 72010) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2018-12-04 |