| NPI | 1336570894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 332670) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC36655) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |