| NPI | 1255438313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209-005561) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377.00584) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2026-02-04 |