| NPI | 1962725408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC39401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN486960) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |