NPI | 1407002082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 2826952) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-08-14 |
Last Update Date | 2023-08-09 |