NPI | 1184058737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95001148) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 493762) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA NPF95001148) | |
Enumeration Date | 2013-08-29 |
Last Update Date | 2024-07-11 |