| NPI | 1093410789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500005866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 0002099869) |
| 363L00000X Nurse Practitioner (Licence: VA 0024195854) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-03-16 |