| NPI | 1467646794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA RN 219714) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |