| NPI | 1164583829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000014218) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 0000000527) |
| 163W00000X Registered Nurse (Licence: TN RN0000162019) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-12-01 |