| NPI | 1508323239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 16388-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 228285) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2026-03-23 |