NPI | 1770009102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125886) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF100209) |
Enumeration Date | 2017-08-17 |
Last Update Date | 2023-07-12 |