| NPI | 1316486541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020721) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MA 221100) |
| 1041C0700X Social Worker, Clinical (Licence: MA 120808) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2342534) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2022-06-08 |