| NPI | 1396987038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN9457584) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR09415200) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9457584) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024171507) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2023-06-14 |