| NPI | 1346959459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024194740) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001310453) |
| 163W00000X Registered Nurse (Licence: VA 0001310453) | |
| 251B00000X Case Management (Licence: VA 0732009711) | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-10-29 |