| NPI | 1962044206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95376792) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95376792) |
| 167G00000X Licensed Psychiatric Technician (Licence: CA 41383) | |
| 225400000X Rehabilitation Practitioner (Licence: CA 41383) | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2024-05-28 |