NPI | 1649361619 |
---|---|
Former Name | CAROLINA HEATHER CALLANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 63884(MFTI)) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 45112) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2011-06-03 |