| NPI | 1326549858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP950127) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95139423) |
| 363L00000X Nurse Practitioner (Licence: CA 95012753) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2023-10-03 |