| NPI | 1801015714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 222594) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |