| NPI | 1205129384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11025094) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 2011003169) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95007368) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2025-02-23 |