| NPI | 1710468590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019273) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 829012) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2026-06-09 |