| NPI | 1902225253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC18373) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 289176) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |