| NPI | 1932377553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 15368) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 261370) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 3107) | |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2012-07-18 |