| NPI | 1740627314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 512560) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 512560) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2021-03-19 |