| NPI | 1144745563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71013064A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013064A) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39003077A) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2026-06-05 |