NPI | 1700497211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT129911) |
Additional Taxonomies | 101Y00000X Counselor |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-08-10 |
Last Update Date | 2023-02-02 |