NPI | 1760698666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC35215) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN319410) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2013-05-13 |