| NPI | 1710135793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 16359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16359) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2014-11-18 |