| NPI | 1760568521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 24913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 217907) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |