| NPI | 1104974799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 21171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 283239) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |