| NPI | 1144464652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178070) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2019-09-03 |