NPI | 1225311145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 207986) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-09-27 |
Last Update Date | 2024-04-27 |