| NPI | 1467857029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83176) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN255026) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2020-12-18 |