NPI | 1285282962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN11003889) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003889) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003889) | |
Enumeration Date | 2019-08-27 |
Last Update Date | 2024-04-29 |