| NPI | 1255430625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 569) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 000569) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-11-17 |