| NPI | 1316604861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404116) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 68094) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61530158) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1060110) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202208555) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023833) | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-12-30 |