NPI | 1588105993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108579) |
Additional Taxonomies | 101Y00000X Counselor |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 108579) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-17 |
Last Update Date | 2020-09-23 |