| NPI | 1730714338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95067814) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2023-03-10 |