NPI | 1447812896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT141286) |
Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA 44479) |
Enumeration Date | 2019-07-06 |
Last Update Date | 2025-01-16 |