| NPI | 1346969243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL APRN11021287) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11021287) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F404520-01) | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-04-02 |