NPI | 1467818880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP10216) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2016-01-14 |
Last Update Date | 2018-08-31 |