| NPI | 1184430522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-188213) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AL 1-88213) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-04-09 |