| NPI | 1528800588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 13535) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CT 89401) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-08-13 |