| NPI | 1356670392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 16132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 246621) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-24 |