| NPI | 1831580141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030708) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 30091) | |
| 104100000X Social Worker (Licence: CA 30091) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2024-07-10 |