| NPI | 1215421292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95143180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95143180) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-01-08 |