NPI | 1750461844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51606) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 472339) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 472339) | |
Enumeration Date | 2006-10-16 |
Last Update Date | 2017-04-27 |