| NPI | 1194913319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97453) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF60091) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA LMFT97543) | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2022-10-12 |