| NPI | 1407254881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95003767) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: CA 2939) |
| 106H00000X Marriage & Family Therapist (Licence: CA 51183) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95003767) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2020-06-22 |