| NPI | 1528567781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 115217) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NE 55865) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2024-03-25 |