| NPI | 1124176409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN71701) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-12-23 |