| NPI | 1619155280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95001644) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: CA 406327) |
| 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family (Licence: CA 406327) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2022-01-14 |