| NPI | 1295073542 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11029725) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 068639-23) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6735) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2272696) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10802) | |
| Enumeration Date | 2013-01-22 | 
| Last Update Date | 2024-04-24 |