| NPI | 1457702151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11041032) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2025-08-19 |