| NPI | 1780889659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 317343) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 46199) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2025-09-11 |