| NPI | 1689713752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95101719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 164X00000X Licensed Vocational Nurse (Licence: CA 263622) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-07-21 |