| NPI | 1528609187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178308) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: VA 0024178308) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: VA 0024178308) | |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: VA 0024178308) | |
| 364SP0811X Clinical Nurse Specialist, Psych/Mental Health, Chronically Ill (Licence: VA 0024178308) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0024178308) | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: VA 0024178308) | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2024-09-06 |