| NPI | 1639363807 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 534388)  | 
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 534388)  | 
| 163WC0400X Registered Nurse, Case Management (Licence: CA 534388)  | |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 534388)  | |
| Enumeration Date | 2007-08-30 | 
| Last Update Date | 2007-08-30 |