| NPI | 1780859181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95027770) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA RI-E0607271141) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2023-10-23 |