| NPI | 1205562394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 9257) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 9257) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2025-07-02 |