| NPI | 1770271280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024927) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 629009) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 629009) | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |