| NPI | 1336408210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95039089) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14853) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2026-03-27 |