NPI | 1801487558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95026564) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 951768879) |
Enumeration Date | 2021-01-26 |
Last Update Date | 2025-09-05 |