| NPI | 1003068727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3147) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 16-1560) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2025-04-24 |