| NPI | 1326634999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95226498) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2023-04-15 |