| NPI | 1164777421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN128576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA VN 128576) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2013-05-03 |