| NPI | 1235762337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178872) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0024178872) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402935) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2025-12-30 |