| NPI | 1124393418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP2844802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ARNP2844802) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2022-02-16 |