| NPI | 1891828091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 809979) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-05-02 |