Individual
LIEN HY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
767 N HILL ST STE 400, LOS ANGELES, CA 90012-2381
(213) 808-1720
(213) 253-0883
Mailing address
767 N HILL ST STE 400, LOS ANGELES, CA 90012-2381
(213) 808-1720
(213) 253-0883
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035311
CA
Other
Enumeration date
10/10/2025
Last updated
04/03/2026
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