| NPI | 1740696889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95070640) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 212902) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-09-18 |