| NPI | 1700167681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95036065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000182403) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2025-08-13 |