| NPI | 1285886531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10947-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R33773) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2025-10-10 |