| NPI | 1780517979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95292792) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 95292792) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95292792) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95292792) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95292792) | |
| Enumeration Date | 2026-06-05 |
| Last Update Date | 2026-06-05 |