| NPI | 1306281332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209004881) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0100X Psychologist, Health Service | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277000902) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277000902) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277000902) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 277000902) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2021-07-20 |