| NPI | 1285083816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1024114) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R246087) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN1024114) | |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2023-10-18 |