| NPI | 1073044632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95136630) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN138633) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-09-08 |