| NPI | 1164278933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95457274) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 42518) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2026-06-09 |