| NPI | 1194757385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2018026394) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8141-33) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201802038NP-PP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 0372662-34) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60835480) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 5579) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-02-23 |