| NPI | 1053136721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95032373) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1076553) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 326549) | |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-12-06 |