| NPI | 1902904097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 165868) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 22618) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-02-08 |