| NPI | 1235479098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11021275) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA RN221579) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2024-06-12 |