| NPI | 1982072427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95071641) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 271208) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-04-29 |