| NPI | 1629219530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95027406) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 930129) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2023-10-06 |