| NPI | 1255820254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95330780) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 276886) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2024-05-22 |