NPI | 1689415168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT152528) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 457108) |
172V00000X Community Health Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-06-06 |
Last Update Date | 2025-03-17 |