| NPI | 1801437389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021437) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95056420) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2024-01-03 |