| NPI | 1962066563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 22318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 317432) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |