| NPI | 1477093672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 140052) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN256371) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2023-10-23 |