| NPI | 1477017614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R186747) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC8432) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2024-04-30 |