| NPI | 1821412644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95034910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2290914) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-09-30 |