| NPI | 1063888956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC40180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 241245) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |