| NPI | 1235372723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111272) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT Intern 95895) |
| 174N00000X Lactation Consultant, Non-RN (Licence: CA 11030216) | |
| 176B00000X Midwife (Licence: CA LM286) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2019-03-13 |