| NPI | 1356885289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95012009) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95105558) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 95105558) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2025-07-29 |