| NPI | 1386134021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL ALC04534) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-098628) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902612) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2023-08-03 |