| NPI | 1013374537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95039104) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA vn264971) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |