| NPI | 1205629078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA APRN-NP154948) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN154948) |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: GA RN154948) | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2026-07-15 |