| NPI | 1083457774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1059356) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MD R243706) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R243706) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R243706) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R243706) | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2025-08-27 |