| NPI | 1851737860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019083) |
| Additional Taxonomies | 111NR0400X (Licence: CA DC27461) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2021-12-03 |