NPI | 1447904313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 288517-4405) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2022-02-09 |
Last Update Date | 2023-10-30 |