| NPI | 1790282960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: CA 2022002084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F03180872) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2025-10-30 |