| NPI | 1194387886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV 811308) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV 811308) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95015570) | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-11-02 |