| NPI | 1154900678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1034042) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1034042) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN1034042) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R210917) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2023-08-04 |