| NPI | 1205888146 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71001242A) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 34003872) | 
| Enumeration Date | 2006-05-17 | 
| Last Update Date | 2025-09-11 |