| NPI | 1033532221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 71250) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM R-53170) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2023-03-27 |