NPI | 1902254394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT139196) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF99876) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2023-05-15 |