NPI | 1487101614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT118518) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA F1593346) |
Enumeration Date | 2016-09-06 |
Last Update Date | 2020-03-24 |