| NPI | 1982352803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95033024) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95273779) |
| 163W00000X Registered Nurse (Licence: MT RN-127444) | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2024-12-26 |