| NPI | 1780986554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 83209) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 65350) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF 65350) | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2019-02-28 |