| NPI | 1780012435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95038974) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NM RN-77769) |
| 163W00000X Registered Nurse (Licence: CA 95102784) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2026-06-24 |