| NPI | 1811415078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95220070) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 689788) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-07-21 |