NPI | 1336363282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC# 39861) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 294441) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2021-09-01 |