NPI | 1821200866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc28294) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA rn216289) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2007-07-08 |