| NPI | 1023548799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA APO9458) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 123496) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-03-27 |