| NPI | 1427669423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11012464) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 11012464) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 9430895) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2022-02-15 |