| NPI | 1508342130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10180-33) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 222650-30) |
| 363L00000X Nurse Practitioner (Licence: WI 10180-33) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2026-06-08 |