| NPI | 1609397694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029390) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101354) |
| 163W00000X Registered Nurse (Licence: CA 95305078) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-05-21 |