| NPI | 1518558832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95312991) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 684435) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2024-04-17 |