| NPI | 1053685420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP1054872) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-08-07 |