| NPI | 1891833216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP23011) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 541990) |
| 225400000X Rehabilitation Practitioner (Licence: CA 541990) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-01-17 |