| NPI | 1508480229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11009359) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL RN9339312) | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2023-08-14 |