| NPI | 1538767157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2022067946) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11009713) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2025-03-03 |