| NPI | 1083214753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5019155) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 354720) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2024-11-08 |