| NPI | 1134555790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP07557) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0138671) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12.015744) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP126296) | |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2025-12-30 |