NPI | 1609356476 |
---|---|
Former Name | MACKENZIE ANN MORRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129786) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist (Licence: CA 117497) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-08-20 |
Last Update Date | 2022-12-01 |