| NPI | 1073237210 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO c-apn.0101047-cnp)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 281630)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11025843)  | |
| Enumeration Date | 2022-09-30 | 
| Last Update Date | 2025-10-13 |