| NPI | 1295974616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 4422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC RN109735) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2019-09-25 |