| NPI | 1306301866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN240416) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2024-02-16 |