| NPI | 1124428503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 83463) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2023-08-04 |