| NPI | 1821225780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022470) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2024-04-09 |