| NPI | 1013645522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022019) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95052698) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 95022019) | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |