| NPI | 1770667990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 783998) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA vn209774) |
| 167G00000X Licensed Psychiatric Technician (Licence: CA PT28922) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-11-19 |