| NPI | 1023867785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA 2025040897) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN259072) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2025-07-21 |