| NPI | 1154526168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 50996) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF 52281) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2015-09-19 |