| NPI | 1053136721 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 326549) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95032373) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1076553) | |
| Enumeration Date | 2024-11-18 | 
| Last Update Date | 2025-09-05 |