| NPI | 1417423948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 248828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 248828) |
| 1041C0700X Social Worker Clinical (Licence: AZ LCSW-19309) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-07-30 |