| NPI | 1265501605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 066468-23) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NH 392) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-08-22 |