| NPI | 1386065027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN227532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 664741) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA 227532) | |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2020-12-31 |