| NPI | 1467512129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 32237) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 141826) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-06-27 |