| NPI | 1578058327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 95009264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009264) |
| 363L00000X Nurse Practitioner (Licence: CA 95009264) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-01-22 |