| NPI | 1518205582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95036473) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 650083) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2025-09-15 |