NPI | 1073726071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC41595) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 273877) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2007-07-08 |