| NPI | 1194880468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 335709) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 44306) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 335709) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2009-03-23 |