NPI | 1699804229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC41890) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA RN310665) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2007-07-08 |