| NPI | 1053596932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 72200) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 28840) |
| 163W00000X Registered Nurse (Licence: CA 708924) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |