| NPI | 1912036088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 37566) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA RN 381567) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-08-23 |