| NPI | 1275698623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 534174) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95007154) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-07-24 |