| NPI | 1841521259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 267669) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 30868) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2015-08-27 |