| NPI | 1730350992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18705) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 677280) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 3103) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2013-12-06 |