| NPI | 1639395015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MR00002647) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CA L140019) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |