| NPI | 1245685031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN2572262) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN2572262) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2025-02-24 |