| NPI | 1386914026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95162647) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 261937) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95014040) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2020-02-27 |