| NPI | 1326025826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1838792) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1542) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2025-09-09 |