| NPI | 1346739356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9337347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL APRN9337347) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2024-01-15 |