| NPI | 1023207297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9324382) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: VA 0015000775) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024165453) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: FL CNS 9324382) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2012-04-12 |