| NPI | 1962586511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 738350) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2026-07-31 |