NPI | 1114262110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 8831) |
Additional Taxonomies | 102L00000X Psychoanalyst |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 132181) | |
Enumeration Date | 2012-12-01 |
Last Update Date | 2024-08-29 |