| NPI | 1013626852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 27054) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 14961) |
| 163WC0400X Registered Nurse, Case Management (Licence: SC 220234) | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-02-08 |