| NPI | 1275199705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010208) |
| 103TF0000X Psychologist, Family (Licence: 95010208) | |
| 207Q00000X Family Medicine (Licence: CA 95010208) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |