| NPI | 1790190528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 2189) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 574628) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95001174) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2018-05-17 |