| NPI | 1073594479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6971) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL rn1986612) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 006971) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL 1986612) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2022-08-11 |