| NPI | 1821539578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95129172) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 243575) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-05-17 |