| NPI | 1629695986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95020142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 830676) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 830676) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-02-27 |