| NPI | 1851434484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 9856) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 88169) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-11-19 |