NPI | 1720345770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100525) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
106H00000X Marriage & Family Therapist (Licence: CA IMF80061) | |
Enumeration Date | 2012-04-16 |
Last Update Date | 2021-04-16 |