| NPI | 1336965417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ 316765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN185032) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 316765) | |
| Enumeration Date | 2024-11-23 |
| Last Update Date | 2025-11-05 |