| NPI | 1376889014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6497) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2019-03-30 |