NPI | 1679013114 |
---|---|
Former Name | ANNA ROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107511) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF89320) |
Enumeration Date | 2017-03-02 |
Last Update Date | 2021-11-24 |