| NPI | 1245579127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 226928) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR R091702) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2024-01-08 |