| NPI | 1891709333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3547) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT40351) |
| 163W00000X Registered Nurse (Licence: CA 295308RN) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-10-03 |