| NPI | 1124756325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95373848) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 272609) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-07-01 |