| NPI | 1730423658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95167659) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA PT34503) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-03-03 |