| NPI | 1942251319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY12884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA R213694) |
| 363L00000X Nurse Practitioner (Licence: CA 1477) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-10-07 |