| 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 |