| NPI | 1588461867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA PA65859) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA65859) |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-08-28 |