| NPI | 1336687144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377002534) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01480900) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404928) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ TEMP328406) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002629) | |
| 163W00000X Registered Nurse (Licence: IL 041.391640) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71016307A) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2025-12-09 |