NPI | 1922412758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF85991) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF85991) |
101Y00000X Counselor | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2022-07-21 |