| NPI | 1922587864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95038902) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 688387) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95284169) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2026-07-02 |