| NPI | 1497044390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71016387A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007505A) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2025-03-07 |