| NPI | 1831917400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95383466) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95383466) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-11 |