| NPI | 1447245287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SD LMFT1193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD RO14812) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-07-08 |