| NPI | 1245249358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AL 1-027218) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 219) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2013-07-19 |