| NPI | 1114083706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC27513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 283882) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-06-07 |