| NPI | 1730644543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT143656) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN237571) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2024-01-14 |