NPI | 1174971048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NPF95026845) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95221003) | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2024-06-17 |