NPI | 1457997553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024102) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-174112) |
Enumeration Date | 2019-11-23 |
Last Update Date | 2023-03-20 |