| NPI | 1013796614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT APRN-239192) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61539312) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 298068) | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2025-07-16 |