| NPI | 1457192841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95026664) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95026664) |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-08-20 |