| NPI | 1184336984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022727) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113494) |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2024-01-31 |