| NPI | 1760149678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95438808) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 6855126) |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2026-02-25 |