| NPI | 1811461106 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA PA56383) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 56383) | 
| Enumeration Date | 2019-01-20 | 
| Last Update Date | 2025-08-29 |