| NPI | 1073848628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95033253) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF60239) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2025-06-18 |