| NPI | 1245306562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R258039) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1643) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-02-17 |