| NPI | 1336859198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704304772) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MI 4704304772) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704304772) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1167889) | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2025-04-25 |