NPI | 1336556026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73866) |
103T00000X Psychologist | |
Enumeration Date | 2014-07-15 |
Last Update Date | 2023-07-28 |