| NPI | 1306453220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 236418) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ 236418) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 236418) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 236418) | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2024-12-18 |