| NPI | 1760621965 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 565438)  | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 73872)  | 
| Enumeration Date | 2009-02-11 | 
| Last Update Date | 2021-03-22 |