| NPI | 1104441401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95128977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95128977) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2025-07-28 |