| NPI | 1396078150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R233201) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD MD5614) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2023-03-01 |