| NPI | 1407027618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP22736) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 716453) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 22736) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2018-06-15 |