| NPI | 1356827752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209028239) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2023-11-01 |