| 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 |