| NPI | 1013227446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4021493) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 5881) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2024-06-13 |