| NPI | 1619028263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA CNS100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 1407) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-11-01 |