| NPI | 1841610219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 54007) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 54007) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95000797) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-02-18 |