NPI | 1023355120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9372234) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-01-09 |
Last Update Date | 2022-02-24 |