| NPI | 1679069058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025863) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-07-31 |