| NPI | 1023173309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC19162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN103948) |
| 163W00000X Registered Nurse (Licence: CA RN146480) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |