| NPI | 1346645421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030429) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC008393) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-11-20 |