| NPI | 1114596624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019647) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95142217) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024183375) | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2023-05-25 |