| NPI | 1316811250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 16657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 119339) |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2026-02-19 |