| NPI | 1477239135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK 214146) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT NUR-APRN-LIC-218939) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-07-15 |