| NPI | 1861704827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 62862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 671220) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2013-12-16 |