| NPI | 1679878193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 789932) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2024-04-19 |