| NPI | 1548974355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R217770) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R217770) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R217770) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MD R217770) | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-12-19 |