| NPI | 1437271459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP231185) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006141) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-04-12 |