| NPI | 1396931630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 855) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 25576) |
| 163W00000X Registered Nurse (Licence: CA 164515) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2015-08-05 |