| NPI | 1639204639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC30996) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH2881) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |