| NPI | 1184104150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 39193) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2025-09-24 |