| NPI | 1629360425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95127906) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 216166) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2017-06-14 |