| NPI | 1457864803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9427602) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9427602) |
| 101YM0800X Counselor, Mental Health (Licence: FL APRN9427602) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2024-06-27 |