NPI | 1962149070 |
---|---|
Former Name | KYLE JEFFREY PINCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148646) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16958) |
171M00000X Case Manager/Care Coordinator | |
101Y00000X Counselor | |
172V00000X Community Health Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-05-19 |
Last Update Date | 2024-11-13 |