| NPI | 1730877374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95035301) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95269831) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-08-22 |