| NPI | 1134892920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KY 1161157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 784548) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403991-01) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2025-05-21 |