| NPI | 1043903883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122769) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 95228531) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |