| NPI | 1902242498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95275662) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 313008) |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2023-04-28 |