NPI | 1609057801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 37317) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 308712) |
Enumeration Date | 2007-11-16 |
Last Update Date | 2007-12-04 |