| NPI | 1366827511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95014499) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95014499) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 71008674A) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2026-05-04 |