| NPI | 1497463756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-81809-051) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2013022160) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023003910) | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-07-14 |