| NPI | 1134748932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019670) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 648455) |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2025-06-04 |