| NPI | 1205590338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95039421) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95158638) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 95158638) | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2026-07-21 |