| NPI | 1780031997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8791) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 09-1125) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AZ AP8791) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2019-11-11 |