| NPI | 1467888685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 078021-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 204924) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2025-08-18 |