| NPI | 1982983508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 533387) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 533387) | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2023-04-07 |