| NPI | 1447414552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP18183) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY15310) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 288613) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2012-01-30 |