| NPI | 1083250419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 95174621) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95174621) |
| 163W00000X Registered Nurse (Licence: CA 95174621) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2024-02-09 |