| NPI | 1528028529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 10219) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT-32424) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 358988) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-10-23 |