| NPI | 1255575643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83725-122) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9245838) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL ARNP9245838) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3012712) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2025-11-24 |