| NPI | 1396762019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2809552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2809552) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL aprn2809552) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ARNP2809552) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP2809552) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2809552) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: FL ARNP2809552) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL ARNP2809552) | |
| 101YM0800X Counselor, Mental Health (Licence: FL ARNP2809552) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-09-12 |