| NPI | 1437278371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R886070) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-152564) |
| 163W00000X Registered Nurse (Licence: MS R886070) | |
| 101YM0800X Counselor, Mental Health (Licence: MS 0890) | |
| 163W00000X Registered Nurse (Licence: AL 1-152564) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2026-01-12 |