| NPI | 1568847978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2021209235) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 11579) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2026-01-18 |