| NPI | 1194538074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2025002297) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2021007992) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209032950) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-10-27 |