| NPI | 1245468933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025340) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT82945) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95240901) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2023-09-17 |