| NPI | 1215276712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95255201) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 36670) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2024-04-26 |