| NPI | 1174743728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN1473942) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL APRN1473942) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 1473942) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2021-10-25 |