| NPI | 1427855451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.031722) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71017172A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704432434) | |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-10-29 |