| NPI | 1174943229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95407842) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2025-03-15 |