NPI | 1255175857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 215588) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 215588) |
Enumeration Date | 2024-06-20 |
Last Update Date | 2024-07-14 |