| NPI | 1811071624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95032932) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 20774) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-05-16 |