| NPI | 1669608873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 777805) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 34153) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2012-09-19 |