| NPI | 1811139884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS17434) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-11-05 |