NPI | 1770979460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123314) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2020-12-07 |