| NPI | 1164050522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 299888) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 087264-21) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NH 1144) | |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical (Licence: NH 2449) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-06-19 |