| NPI | 1548027279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0137067) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VT 026.0022743) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-04-23 |