| NPI | 1235879149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 280815) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2347945) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 280815) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-02-14 |