| NPI | 1124601315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 184950) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA VN184950) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-11-14 |