| NPI | 1982072427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95039681) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95071641) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 271208) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2026-08-26 |