| NPI | 1174934459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC CN210136038) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: DC HHA10332) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0024184923) | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2023-07-20 |