| NPI | 1619246907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA NP95006826) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006826) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2022-11-22 |