| NPI | 1093410789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500005866) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024195854) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-09-03 |