| NPI | 1649411810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 236118) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 16983) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |