| NPI | 1295545499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95403886) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 163W00000X) |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |