| NPI | 1043358963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT50888) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50888) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-03-08 |