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 |