| NPI | 1184332686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN11040519) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-177086) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11040519) | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-11-07 |