| NPI | 1376024240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.022010) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041.411854) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 022010) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2021-11-11 |