| NPI | 1427660042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 9813075-4405) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: UT 9813075-3102) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-02-27 |