| NPI | 1639297021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 219605) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC31243) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2025-09-11 |