| NPI | 1639503352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 1022403) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 63917) |
| 106H00000X Marriage & Family Therapist (Licence: CA 102273) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2020-03-09 |