| NPI | 1861147340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95153139) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2023-07-26 |