| NPI | 1487225280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11013531) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP002144) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1215967) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12.015607) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2026-05-13 |