| NPI | 1033803176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95034676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95250143) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2025-05-22 |