| NPI | 1639596299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95038274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95276151) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW60829) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2026-05-06 |