| NPI | 1477206308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.025795) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.025795) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041.438802) | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2026-03-06 |