| NPI | 1376275313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11040526) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCM104470) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2025-07-13 |