| NPI | 1609736057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 757364) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-JIZBDP) |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2026-01-21 |