| NPI | 1346536117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9251709) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ARNP9251709) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-11-27 |