| NPI | 1760659643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95030733) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 576785) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 576785) | |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2024-08-09 |