NPI | 1811320260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90822) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA 90822) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-08-20 |
Last Update Date | 2017-03-03 |