| NPI | 1235743774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 259024) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 21630) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2025-05-18 |