| NPI | 1447097647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 313512) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AZ RN206881) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ RN206881) | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2025-10-02 |