| NPI | 1336913839 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95298668) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95298668) | 
| Enumeration Date | 2023-11-14 | 
| Last Update Date | 2024-05-14 |