| NPI | 1275221558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018618) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024192885) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1115134) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NY 406009) | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-05-16 |