| NPI | 1306855333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP009083) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA RN559476) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-01-08 |