| NPI | 1265209514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406688-01) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704451394) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0042991) | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2026-08-14 |