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 | 2024-05-13 |