| 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 |