| NPI | 1487363552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209026408) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61500190) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 13443-33) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10003531) | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-08-01 |