| NPI | 1083234165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 24180444) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001204656) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2026-06-17 |