| NPI | 1255779120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 22671) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA FNP22671) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA FNP22671) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2026-07-20 |