| NPI | 1619452430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95410785) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 952982) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2025-03-24 |