| NPI | 1013718824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1067134) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024194653) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10019771) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70036741) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 85432) | |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-11-13 |