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