| NPI | 1245368208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 294579) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-09-24 |