| NPI | 1871718759 |
|---|---|
| Former Name | BETHANY RAINAUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy 22581) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT41649) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2012-07-11 |