| NPI | 1942810098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95018535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95202205) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2021-10-25 |