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