| NPI | 1215323035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021908) |
| Additional Taxonomies | 101Y00000X Counselor |
| 163W00000X Registered Nurse (Licence: CA 95232314) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-10-21 |