| NPI | 1538223755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3163) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW10647) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2022-08-24 |