| NPI | 1407288236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23389) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23389) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2022-03-08 |