| NPI | 1598493694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021850) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28990) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024195271) | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2025-12-09 |