| NPI | 1285844233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3016791) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-06-02 |