| NPI | 1396261772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95277893) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 688949) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-07-21 |