| NPI | 1285037747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4042784) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1096979) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2025-09-11 |