| NPI | 1497589865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 253566) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 15969) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-10-09 |