| NPI | 1427556240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 276452) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19986) |
| 163W00000X Registered Nurse (Licence: AZ 276452) | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2024-11-22 |