| NPI | 1528477429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95018121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 164X00000X Licensed Vocational Nurse (Licence: CA 284867) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95018121) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2025-04-14 |