| NPI | 1083250682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 16113) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2025-12-28 |