| NPI | 1285228452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1063431) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC003679) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024181302) | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2024-08-06 |