| NPI | 1548909229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9938) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN 9938) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: ND R34710) | |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MN 192799) | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-12-11 |