| NPI | 1629675640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95406266) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114901) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2025-03-10 |