| NPI | 1356827752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377.005197) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.005841) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 15823-33) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2026-08-05 |