| NPI | 1053869974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110585) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 372403) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2020-01-30 |