NPI | 1073655007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC29970) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 224619) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2012-02-24 |