| NPI | 1356228225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP9535397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95286882) |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-10-17 |