| NPI | 1316675424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95033153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 610277) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CA 610277) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 610277) | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2025-03-28 |