| NPI | 1306107867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1031963) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R208446) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024193733) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2026-03-16 |