| NPI | 1669087326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020369) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 759586) |
| 163WS0200X Registered Nurse, School (Licence: CA 759586) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2025-09-22 |