NPI | 1003973280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc30113) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN377856) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2007-07-08 |