| NPI | 1497811871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42556) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 443269) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-09-07 |