| NPI | 1669616991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87007) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN167403) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2017-01-04 |