| NPI | 1417314071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 227050) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2022-08-09 |