| NPI | 1275783193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY7808) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: FL PY7808) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 714562) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA 60459418) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP5491) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G141742) | |
| Enumeration Date | 2008-09-28 |
| Last Update Date | 2021-10-10 |