| NPI | 1487605606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71010158A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004589) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-07-17 |