| NPI | 1346621034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95057710) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 32723) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |