| NPI | 1114262110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 8831) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 132181) |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2012-12-01 |
| Last Update Date | 2025-11-25 |