| NPI | 1992483507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95037083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95296246) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2025-09-28 |