| NPI | 1396407946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL aprn11015928) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH20640) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9508715) | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-02-22 |