NPI | 1083138622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9321760) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
363LF0000X Nurse Practitioner, Family (Licence: FL 9321760) | |
Enumeration Date | 2017-07-26 |
Last Update Date | 2024-11-11 |