| NPI | 1922587864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95284169) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 688387) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2024-10-02 |