| NPI | 1386538635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 9623359) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 207697) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 14891) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11040281) | |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-09-22 |